Healthcare Provider Details

I. General information

NPI: 1467459800
Provider Name (Legal Business Name): HI-TECH MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE SOUTHERN WAY SUITE B
MOBILE AL
36619-1210
US

IV. Provider business mailing address

ONE SOUTHERN WAY SUITE B
MOBILE AL
36619-1210
US

V. Phone/Fax

Practice location:
  • Phone: 251-433-9805
  • Fax: 251-432-3630
Mailing address:
  • Phone: 251-433-9805
  • Fax: 251-432-3630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2005-006398
License Number StateAL

VIII. Authorized Official

Name: MR. MATTHEW J HALL
Title or Position: CFO
Credential:
Phone: 251-433-9801